HAILEY NICOLE KNOWLTON
NPI 1215654397
Counselor - Professional in Virginia Beach, VA

Q: What is Hailey Knowlton's NPI number?

The NPI number for Hailey Knowlton is 1215654397. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Q: What is Hailey Knowlton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Hailey Knowlton was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment

1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454(757) 395-5342(757) 222-5095 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Oct 20, 2022 (2 updates tracked since 2022).

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About Hailey Nicole Knowlton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAILEY NICOLE KNOWLTON (NPI 1215654397) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701011871) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215654397

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameHAILEY NICOLE KNOWLTON

Location Address1020 FIRST COLONIAL RD STE AVirginia Beach, VA 23454-3078

Mailing Address1020 First Colonial Rd Ste AVirginia Beach, VA 23454-3078 · (757) 395-5342 · Fax (757) 222-5095

Phone(757) 395-5342

Fax(757) 222-5095

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 20, 2022

Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1215654397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701011871

1020 FIRST COLONIAL RD STE A, Virginia Beach, VA 23454

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Secondary Practice Location 1

Location 11924 Landstown Centre WayVirginia Beach, VA 23456-1624 · Phone (757) 668-4673 · Fax (757) 668-8559

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hailey Nicole Knowlton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820571078

PECOS Enrollment IDI20260316001804

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NENA METRA LAGUERTA M.D.

Psychiatry & Neurology (Psychiatry)